New Page 1

Workshop Registration Form

NOTICE
No open-enrollment classes are currently scheduled. If you are interested in having
a particular workshop added to the schedule, please notify us by clicking here.

Use this form to register yourself and/or others in a workshop.

Date of this request:   mm/dd/yy Authorization Code:

Contact information:

First Name
Last Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country  
Phone
E-mail

Please indicate which workshop: (use arrow to select from list)

Who is this registration for?

Myself
Myself and Others
Others

If you are registering others, please indicate their names and e-mail addresses below:

Name E-Mail Address

Calculate the amount due:

# of Registrations x Tuition   =

Table for Calculating Tuition
 Workshop Title:

1  registration

2 or more registrations from the same org.
 Multitasking Skills and Tools Workshop $595 $535 each
 Quantitative Tools for Project Managers $595 $535 each
 Powerful, Painless Presentations $2500 $2250 each
 Managing Priorities Under Pressure $595 $535 each
 Managing Conflict & Difficult People $595 $535 each
 Managing Internal Projects $595 $535 each
 Negotiating Without Confrontation $595 $535 each

 Managing Accelerated Projects

 $1095 $985 each

How will you pay? (Payment is due in advance.)

Company check
Personal check or money order
Visa or MasterCard
Other (describe in the box below)

Special instructions concerning billing (purchasing officer, phone #, P.O. #, etc.)

Check here if you would like to be contacted about bringing this workshop on site.

PRINT THIS PAGE FOR YOUR RECORDS,
THEN PRESS THE SUBMIT FORM BUTTON

Payment is due in full upon registration to:
Roberts & Roberts Associates
3400 Dartmouth
Plano, TX 75075

For questions concerning payment, call (972) 596-2956 or contact us by e-mail at info@robertslearning.com.

By submitting this form you agree to pay in full the amount due for the workshop or workshops indicated and that you agree to our terms and conditions. If you wish to pay by credit card, for security purposes you will be contacted by telephone to obtain the account information on the card. Please note that class sizes may be limited and registrations will be accepted on a first-come-first-served basis. Tuition discounts, where applicable, may not be combined. Also, in the unlikely event that it is necessary to reschedule a workshop, any amount that you have prepaid for tuition for that event will be refunded, or it may be applied to another event or service.

If you wish to clear this form and start over, press here:
 

Roberts Learning Home Page
Contact Us By E-Mail
Copyright © 2003 · Roberts Learning · All rights reserved.
Revised: 14-Jul-2008

http://www.robertslearning.com